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Cama: ________

Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________

Cama: ________
Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
Cama: ________
Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________

Cama: ________
Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
Cama: ________
Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________

Cama: ________
Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
Cama: ________
Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________

Cama: ________
Nombre: NC: NH:

FN: DNI:

DX FI: GS:
Apendicitis
Colecistitis Molestia principal: ________________________
Torsión Testicular
TE: _____
Hernia: ______________________________
NM _________________________________
___________________________________
TEC ________________________________ ___________________________________
FX: _________________________________ ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________

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